Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,695.00 / $17,902.00	Facility		$2,197.85	$6,695.00	$17,902.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,166.00 / $15,328.00	Facility		$2,629.00	$7,166.00	$15,328.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,276.89	Facility		$66.00	$100.00	$15,276.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $521.22 / $605.30 / $786.90	Professional		$521.22	$605.30	$786.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $544.78 / $691.07 / $1,278.90	Professional		$544.78	$691.07	$1,278.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $13,856.55	Facility		$2,000.00	$2,000.00	$13,856.55
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $130.37 / $1,314.53 / $1,314.53	Facility	AS	$130.37	$1,314.53	$1,314.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $587.27 / $806.44 / $1,099.39	Facility		$587.27	$806.44	$1,099.39
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $29,571.00	Facility		$7,696.00	$13,784.00	$29,571.00